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Category Archives: Medical records
Computerized medical record problems
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages but also some significant disadvantages. The last issue relates to the cumbersome nature of EMRs. Electronic health records can … Continue reading
Computerized medical records and operational issues
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages but also some significant disadvantages. Operational issues may plague the use of electronic medical records, a third issue to … Continue reading
Computerized medical records: forensic issues Part 2
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages but also some significant disadvantages. Forensic issues are the second point to consider. Failure to authenticate a medical record … Continue reading
Posted in Medical records
Tagged computerized medical records, electronic medical records, EMRs
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Computerized medical records – security, privacy, and confidentiality
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages but also some significant disadvantages. Concerns about security, privacy and confidentiality of records are the first. There are problems … Continue reading
Computerized medical records – forensic issues Part 1
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages. The fourth is the impact on forensic issues. *** News flash: The Institute of Medicine (IOM) will conduct a … Continue reading
Computerized medical records and medical errors
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages. The third is prevention of medical errors. Pen and paper medical records are plagued by illegible handwriting along with … Continue reading
Computerized medical records – quality
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages. The second is quality. Electronic medical records manipulate and display information in a way that no paper and pen … Continue reading
Computerized medical records – efficiency
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages. The first is efficiency. The enormous amount of data that are collected about a person’s health can be stored … Continue reading
Pat Iyer’s 9 tips on detecting altered medical records Part 5
• Examine logs or communication books kept at the nursing station of some nursing homes. I found a note in a nursing home communication book that stated, “When you recopy the nurses’ notes, leave enough room for the night shift … Continue reading
Posted in Healthcare Risk Management, Legal nurse consulting, Medical errors, Medical malpractice, Medical records, Nursing malpractice, Tampering with evidence, Trial lawyer skills
Tagged altered medical records, altered records, spoliation of evidence, spoliation of medical records, tampering with medical records
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Pat Iyer’s 7 tips on detecting altered medical records part 4
• Look for the “too good to be true” pattern of documentation. For example, the patient was steadily losing weight but supposedly consuming 100 percent of his 2000 calories per day diet. • Note entries that are self-serving and needlessly … Continue reading
Posted in Healthcare Risk Management, Legal nurse consulting, Medical errors, Medical malpractice, Medical records, Nursing malpractice, Tampering with evidence, Trial lawyer skills
Tagged altered medical records, altered records, spoliation of medical records, tampering with medical records
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